That is the challenge for tobacco control in this century
The way it works is fairly well mapped out: Your skin has cells called fibroblasts that build collagen (the stuff that keeps skin firm and smooth)
doi: 10.1016/j.jpeds.2009.11.044 48
Based on analysis of cases and household controls and controlling for age, gender, marital status, family history of TB, alcohol consumption, drug use, BCG scar, HIV status, history of worms, and diabetes status, current and past smokers were found to be significantly more likely to develop smear-positive pulmonary TB than never-smokers
In east North Carolina, farmers now dont talk about being a tobacco farmer. Theyre a farmer an astute businessman who grows a diverse mix. While Banks has concerns about the negative economic impact of Virginias T-21 in Virginia and beyond he fears that its a sign of things to come